KENNETH RICHARD NISSIM M.D.
NPI 1447246392
Otolaryngology, Sleep Medicine in Rockford,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 26, 2005

Contact Information

1253 N Alpine Rd
Rockford,
Post Code: 61107
Phone: (779) 696-9201
Fax: (815) 397-9667

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Kenneth Richard Nissim M.d. in Rockford - Otolaryngology, Sleep Medicine

Kenneth Richard Nissim M.d. is a Otolaryngology, Sleep Medicine in Rockford, . Kenneth Richard Nissim M.d. practices all healthcare services and medical treatments related to Otolaryngology, Sleep Medicine. The NPI Number for Kenneth Richard Nissim M.d. is 1447246392. The last update date is 2024-12-11.

Kenneth Richard Nissim M.d.'s current location address is 1253 N Alpine Rd, Rockford, . You can contact this provider via phone number (779) 696-9201 and fax number (815) 397-9667. The mailing address for Kenneth Richard Nissim M.d. is 1253 N Alpine Rd, Rockford, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1447246392
Provider Name
KENNETH RICHARD NISSIM M.D.
Gender
Male
Entity Type
Individual
Location Address
1253 N Alpine Rd, Rockford,
Location Phone
(779) 696-9201
Location Fax
(815) 397-9667
Mailing Address
1120 Nw 14th St, Miami, Florida(FL)
Mailing Phone
305-243-3564
Mailing Fax
305-243-2009
Enumeration Date
2005-09-26
Last Update Date
2024-12-11
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology, Plastic Surgery within the Head & Neck

Taxonomy Code
207YX0007X
Type
-
License No.
036170811
License State
Illinois (IL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207YS0012X Sleep Medicine (Otolaryngology) Physician

Otolaryngology, Sleep Medicine

ME85561 (Florida)
2 207Y00000X Otolaryngology Physician

Otolaryngology

ME85561 (Florida)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2675617-00 MEDICAID (05) Florida (FL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447246392
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24874412318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 24874412318
2 + 4 + 8 + 7 + 4 + 4 + 1 + 2 + 3 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2 2

The NPI number 1447246392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1417950437 ILLINI OPEN MRI, LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 2147 S NEIL ST
CHAMPAIGN, Illinois (IL)
217-359-8339
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541
1356344378 LIFESCAN CHICAGO LLC
Organization
Clinic/Center, Radiology 2242 W HARRISON ST
CHICAGO, Illinois (IL)
312-243-3200